Breast
Breast surgery
What feels right for a woman’s breasts is deeply personal.
Breasts may feel too heavy, lose their shape, or simply feel smaller than a woman feels suits her body.
Breast surgery begins with the patient’s goals.
The reasons for seeking change differ, and so do ideas about how the breasts should look afterwards.
Planning therefore does not begin with a predetermined method. It begins with her goals and with the question of which size, shape and proportion suit her body and her own sense of self.
Relieving weight
Breast reduction
When breast weight becomes a daily burden.
Aching shoulders, a tight neck, a back that feels tired by the end of the day. Large, heavy breasts can affect many parts of everyday life: sport, movement, clothing and the simple effort of getting through a long day.
A breast reduction can remove a meaningful amount of weight and may offer considerable physical relief. At the same time, the breast is fully reshaped. The aim is not to remove as much tissue as possible, but to reach a size that feels right for the woman and to create a balanced, feminine breast shape from there.
The position of the nipple and areola is planned as part of this reshaping, together with the remaining breast tissue, the skin envelope and the expected scar pattern.
Less weight. More freedom in your own body.
Not simply smaller. Reshaped.
A breast reduction is not simply the removal of volume. The remaining breast tissue is used to shape the smaller breast and support it from within.
Structura Lift combines the desired relief with the aim of creating a natural, harmonious breast shape that suits the body, even after a substantial reduction.
Incisions planned with care and judgement.
The most appropriate incision pattern depends on how much the breast is to be reduced and reshaped. It is planned as discreetly as possible and as extensively as necessary, with the aim of combining relief with a convincing breast shape.
A shorter scar must not unnecessarily compromise shape, relief or stability. The likely scar pattern and realistic limitations are discussed personally before surgery.
Many women experience clear physical relief and greater freedom of movement in everyday life after breast reduction.
Reshaping
Breast lift
When your breasts no longer feel like your own.
Pregnancy, breastfeeding, weight changes and ageing can all alter the breast. Volume may be lost, tissue may descend, and sometimes the change affects more than the shape seen in the mirror.
For many women, the breasts are closely linked with body confidence and a sense of femininity. Wanting a breast lift is therefore often not about wanting different breasts, but about feeling more comfortable and at home in one’s own body again.
A breast lift reshapes the existing glandular and fatty tissue, raises the breast, adjusts the position of the nipple and areola where needed, and brings its proportions into closer harmony with the rest of the body. The aim is a breast that feels more in keeping with the body again: in shape, position and proportion.
Structura Lift
The new breast shape is created from within.
Not simply tightening the skin. Reshaping the breast from within.
For Dr Heuft, a breast lift does not begin at the skin. What matters is the structure underneath.
With Structura Lift, the existing breast tissue is used to reshape the breast and stabilise it internally. The skin envelope is deliberately relieved and adapted to the new form.
The aim is to reshape the existing volume so that the breast regains an appealing, natural-looking form.
When the existing tissue is not enough.
Not all tissue offers the same possibilities. Where there is marked connective-tissue weakness, it may be sensible to support the inner structure of the breast with an additional absorbable tissue reinforcement.
Whether such reinforcement is appropriate is assessed individually and discussed during the personal consultation.
Adding volume
Breast augmentation
When additional volume creates better balance.
Some women have wanted fuller breasts since they were young. Others miss volume that was once there after pregnancy, breastfeeding or weight loss.
Individual anatomy can vary considerably. The central question is personal: which size, shape and proportion feel right for the woman’s body?
Breast augmentation adds volume where it is wanted. The aim is a breast that sits naturally within the body in both size and shape.
More volume for more balanced proportions.
More volume. More than one approach.
Many women first think of breast implants when considering breast augmentation. Depending on individual anatomy and personal goals, however, volume can also be added with fat transfer or created by redistributing existing tissue.
A woman who does not specifically want breast implants should understand what possibilities her own body may offer. There is no fixed hierarchy of methods. The suitable approach depends on her anatomy, skin quality, desired projection and the change she would like to achieve.
It is also important to distinguish between adding volume and reshaping the breast. Each option has its own benefits, limitations and trade-offs.
With fat transfer
More volume using your own tissue.
Many women would like fuller breasts but prefer to avoid permanent breast implants. In breast augmentation with fat transfer, the woman’s own fat tissue is removed, prepared and used to add volume to the breast and gently refine its shape.
In this way, the breast can be built up with her own tissue, without taking on the specific risks of a breast implant.
Using your own tissue
Making use of existing tissue.
Where the anatomy is suitable, tissue from the breast and its surrounding area can be used to redistribute volume and reshape the breast.
This can allow more volume to be created with the body’s own tissue, without placing permanent breast implants.
Which autologous option may be suitable depends on individual anatomy and the desired change.
With breast implants
Adding volume with breast implants.
For women who consciously want breast implants, who are seeking a more marked increase in volume within one operation, or for whom methods using their own tissue are not suitable, breast implants remain an established option.
Risks associated with surgery
As with any surgical procedure, bleeding, wound-healing problems, infection or fluid collections can occur after breast surgery. These general risks, together with those that are individually relevant, are discussed in detail as part of the personal consent process.
Frequently asked questions about breast surgery
Which breast procedure may be right for me?
Many women know very clearly what they would like to change about their breasts, without necessarily knowing which procedure would suit them. The first question is therefore not the method, but the goal: should the breasts be relieved, reshaped or given additional volume?
In a personal consultation, we look together at the individual anatomy, the desired proportions and the options that fit her circumstances. From this, it becomes clearer whether breast reduction, breast lift or breast augmentation may be the right route.
Can breasts be enlarged or reshaped without implants?
Yes. Depending on individual anatomy, volume can also be added or redistributed using fat transfer or the body’s own tissue.
Which option is appropriate depends on the existing anatomy and the desired change, and is assessed during the personal consultation.
Can a breast lift be performed without implants?
Yes. During a breast lift, the existing breast tissue can be reshaped and supported from within. Whether the existing volume is enough for the desired shape can only be assessed in relation to the individual anatomy.
How natural can the result look?
Naturalness does not mean the same thing for every woman. The aim is a breast shape that reflects her goals and sits naturally within the body in size and proportion.
Before surgery, we discuss realistically what kind of change can be achieved from the individual anatomy.
What scars can I expect after breast surgery?
The necessary incision pattern depends on the procedure and on the extent of the desired reshaping. It is planned as discreetly as possible and as extensively as necessary.
The shortest possible scar must not mean compromising shape, relief or stability unnecessarily. We discuss the expected scar pattern personally.
Can breast or nipple sensation change?
After breast surgery, breast or nipple sensation can change. Such changes may be temporary, but reduced sensation or numbness can never be completely ruled out.
Your personal risk depends on several factors. We discuss these in detail during the personal consultation.
Can breast surgery affect breastfeeding?
Depending on individual anatomy and the planned procedure, the ability to breastfeed may be preserved, reduced or lost.
The relevance of this risk for the specific operation is discussed during the personal consultation and consent process.
Can asymmetry be improved?
Differences between the two breasts are very common and are taken into account during planning. Complete symmetry, however, cannot be promised.
Before surgery, we discuss which differences can probably be improved and which may remain.
When can I assess the final result?
The breast continues to change during healing over a longer period. Swelling reduces, the tissue becomes softer, and shape and position continue to develop.
An initial impression is usually visible much earlier, but it can take several months before the result can be assessed reliably.
How long will recovery limit my usual activities?
This depends on the procedure, the individual healing process and the demands of work and everyday life.
We therefore discuss which activities may be possible, and when, individually and in relation to the planned operation.
What are the possible long-term effects of breast implants?
Breast implants make it possible to add breast volume in a targeted way within one operation. At the same time, they bring their own risks and long-term questions, which do not apply in the same way to procedures using the body’s own tissue.
These include, for example, capsular contracture, changes in the breast or implant, and the possibility of later operations. Very rare breast-implant-associated diseases are also known, while other reported symptoms are not yet fully understood scientifically.
A considered decision should therefore look not only at the possibilities offered by breast implants, but also at their possible long-term effects.